We examined the effects on astrocytes of ACTH, which is used to treat West syndrome. We stimulated cultured rat astrocytes with ACTH 1-24 , corticotropin-releasing factor, and dexamethasone, and examined changes in neurotrophic factor mRNAs by reverse transcription-PCR. Downregulation of ciliary neurotrophic factor mRNA expression was observed by stimulation with ACTH 1-24 , but the expression of nerve growth factor, brain-derived neurotrophic factor, and nerotrophin-3 mRNAs was unaffected. Northern blot analysis revealed that the decrease in ciliary neurotrophic factor mRNA occurred 4 h after stimulation with more than 10 nM of ACTH 1-24 . Up-regulation of nerotrophin-3 mRNA expression was found after stimulation with 1 mM dexamethasone. These results suggest that ACTH ACTH is a 39-amino acid peptide that is derived from the precursor peptide pro-opiomelanocortin. Hypothalamic neurons contain most of the brain pro-opiomelanocortin-related peptides, but ACTH is also found in the amygdala, cerebral cortex, brainstem, and cerebellum (1). In addition to its classic function, ACTH is thought to act as a neurotransmitter, neuromodulator, and growth factor (1). ACTH has been demonstrated to have a neurotrophic effect, enhancing recovery from damage in both the peripheral nervous system and the CNS (2).West syndrome is an intractable epileptic encephalopathy in infants. The seizures are lessened by ACTH and glucocorticoids, both major components of the brain-adrenal axis (3), but ACTH is reported to be more effective than glucocorticoids (4, 5). However, the mechanism of action of ACTH on immature damaged brain, which may lead to West syndrome, has not been thoroughly investigated. ACTH and adrenal steroids may be important regulators of trophic processes operative in synaptic plasticity (6). It has been reported that not only neurons but also astrocytes express ACTH-receptors and that ACTH induces morphologic changes in astrocytes (7). Thus, ACTH 1-24 administrated in West syndrome may have some influence on astrocytes in vivo. Astrocytes express several kinds of neurotrophic factors and extracellular matrices that regulate axonal growth or regeneration after injury. In view of the therapy for West syndrome, it might be important to examine the influence of ACTH on astrocytes, especially with respect to the expression of neurotrophic factors. 0031-3998/02/5206-0950 PEDIATRIC RESEARCH Vol. 52, No. 6, 2002 Copyright © 2002 Printed in U.S.A.
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